Medicare Facts for Jennifer C. Shepherd, AUD


National Provider Identifier [NPI]: 1356601165
Last Name Of The Provider SHEPHERD
First Name Of The Provider JENNIFER
Middle Initial Of The Provider C
Credentials Of The Provider AU.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 70 S FAIRFIELD RD
Street Address 2 Of The Provider
City Of The Provider LAYTON
Zip Code Of The Provider 840415111
State Code Of The Provider UT
Country Code Of The Provider US
Provider Type Of The Provider Audiologist (billing independently)
Medicare Participation Indicator Y
Number Of HCPCS 5
Number Of Services 33
Number Of Medicare Beneficiaries 25
Total Submitted Charge Amount 3250
Total Medicare Allowed Amount 1419.72
Total Medicare Payment Amount 772.88
Total Medicare Standardized Payment Amount 854.83
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 5
Number Of Medical Services 33
Number Of Medicare Beneficiaries With Medical Services 25
Total Medical Submitted Charge Amount 3250
Total Medical Medicare Allowed Amount 1419.72
Total Medical Medicare Payment Amount 772.88
Total Medical Medicare Standardized Payment Amount 854.83
Average Age Of Beneficiaries 81
Number Of Beneficiaries Age Less65 0
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 13
Number Of Male Beneficiaries 12
Number Of Non Hispanic White Beneficiaries 25
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement 25
Number Of Beneficiaries With Medicare Medicaid Entitlement 0
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 0
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8521

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